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M Burner

Publications and source records attributed to M Burner.

At least 19 recordsLinked to original sources

[Social and preventive medicine developments in the next 15 years].

At the present instant we are evolving in the withdrawing of a lot of traditions. Alas one shouldn't live in the illusion that probably nothing will basically change nor be suspicious of either mass-media histrionics or political opportunism towards fashion phenomena; these will probably be the caricatured reflections of what shall perhaps become our society. They will however refer to their futility in the form of the wave which will mark an evolution we shall try to anticipate. In some degree it will allow to stimulate the thought or to modify structure of our medical institutions or our patients, the social and preventive technics that risk to begin won't be simple improvements of what we have now, but they'll open a qualitative universe and extremely different from those, that were born in the 19th century. This study should above all permit us to understand that our rapport with another reality perhaps, or perhaps a new way of life, 'culture' in the broadest sense, will be upset or simply brought into question. Here we see the importance that will be played by social and preventive medicine and evidently social and preventive psychiatry in the year 2000.

Forecasting

[Pharmaco- and psychotherapy in psychiatric ambulatory care].

Our report describes the evolution of the outpatients' psychiatry in Lausanne. Here is mentioned the constant increase of consultations for new and former cases, and it is statistically shown that this augmentation is not only the result of the increasing population in the "Vaud District" (Canton de Vaud) but rather the consequence of the increasing number of patients with deeper investigations and treatments. It is true that the psychotherapeutic training was the most important in our outpatients' department, but the coming of psychotropic drugs has changed the treatment in certain cases and has developed mixed treatments. The creation of the Psycho-Social Center in the Psychiatric outpatients' department was the beginning of the social action in the institution, with the creation of an emergency department, consultations at the patients' home and treatment made by a team including doctors-outpatients' nurses-social assistants. We have checked that for many outpatients, very often in hard or psycho-reactive situations, there was no opposition between pharmaco-therapy or psychotherapy. So pharmaco-therapy and psychotherapy are often used separately or together in the outpatients' department through individual analytic psychotherapies, group or brief psychotherapies, relaxation, emergency treatments with perfusion of psychotropic and neuroleptic drugs.

Ambulatory Care